MALLORY BURKE

LAKELAND, FL
NPI1134779812
Former NameMALLORY BASTIAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9112457)
Enumeration Date2019-09-16
Last Update Date2024-05-08
Business Address
Ms. MALLORY BURKE PA
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3065
Phone number: 863-680-7214
Mailing Address
Ms. MALLORY BURKE PA
5422 BAYSHORE BLVD
TAMPA, FL 33611-4122
Phone number:
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